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Organization

VICTORY FACILITY LLC

Active
Other names
Victory Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MCHAEL BLEICH (AUTHORIZED REPRESENTATIVE)
(845) 641-8314
Entity
Organization

Contact information

Practice address
4100 SW 33RD AVE, OCALA, FL 34474-4466
(352) 237-7776
Mailing address
400 RELLA BLVD STE 200, MONTEBELLO, NY 10901-4239
(845) 490-6060

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
FL

Other

Enumeration date
04/23/2018
Last updated
04/23/2018
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